James Cary Alsobrook, D.D.S.
Individual provider Active NPI Dentist · Milan, TN
NPI 1508302571 · NPPES record last updated Jan 13, 2017
Key facts
- NPI
- 1508302571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D3066 (TN)
- Practice address
- 2014 S 1St St
Milan, TN 38358-2750 - Phone
- (731) 686-0105
- NPI assigned
- Jan 13, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3066 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Care of Milan | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D3066 | TN | Yes |
Addresses
Primary practice location
2014 S 1St St
Milan, TN 38358-2750
Mailing address
2014 S 1St St
Milan, TN 38358-2750
Phone (731) 686-0105
Other providers in Milan, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.